JEFFREY PECK MD
NPI 1679835219
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Dallas, TX

Q: What is Jeffrey Peck's NPI number?

The NPI number for Jeffrey Peck is 1679835219. It was assigned to this individual provider in the NPPES registry on June 11, 2012.

Q: What is Jeffrey Peck's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Peck was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 11, 2012PECOS Enrolled

2222 WELBORN ST, DALLAS, TX 75219(214) 559-8430(214) 559-7570 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 14, 2017 (2 updates tracked since 2017).

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About Jeffrey Peck Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY PECK MD (NPI 1679835219) is an individual pediatric orthopaedic surgery provider in Dallas, Texas, licensed in Texas (R1104) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679835219

Entity TypeIndividualMale

Primary Taxonomy207XP3100X

Provider Legal NameJEFFREY PECKCredential: MD

Location Address2222 WELBORN STDallas, TX 75219-3924

Mailing Address2222 Welborn StDallas, TX 75219-3924 · (214) 559-8430 · Fax (214) 559-7570

Phone(214) 559-8430

Fax(214) 559-7570

Sole ProprietorNo

Enumeration DateJune 11, 2012

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1679835219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XP3100X

License✔ Licensed in TX · R1104

Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 5315055844 (MI), 4301101089 (MI)

2222 WELBORN ST, Dallas, TX 75219

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Peck Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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